Jeffrey Dwayne Randall in Little River - Mental Health
Jeffrey Dwayne Randall - NPI 1376688796
Jeffrey Dwayne Randall is a Mental Health in Little River, South Carolina. Jeffrey Dwayne Randall practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jeffrey Dwayne Randall is 1376688796. The last update date is 2014-09-18.
Jeffrey Dwayne Randall's current location address is 501 Highway 90 E, Little River, South Carolina. You can contact this provider via phone number 8034227231. The mailing address for Jeffrey Dwayne Randall is 501 Highway 90 E, Little River, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Dwayne Randall |
|---|---|
| Address | 501 Highway 90 E, Little River, South Carolina |
| Phone Number | 8034227231 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MPC |
NPI Number Detail
| NPI Number | 1376688796 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2014-09-18 |
Provider Mailing Address Detail
| Address | 501 Highway 90 E |
|---|---|
| City | Little River |
| State | South Carolina (SC) |
| Post Code | 29566 |
| Phone Number | 8034227231 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 421504 | SC | -- |
Post Comment/ Review Below
What is the Jeffrey Dwayne Randall's unique identification number?
The Jeffrey Dwayne Randall has been assigned the NPI (National Provider Identifier) Number 1376688796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jeffrey Dwayne Randall is located?
The Jeffrey Dwayne Randall is situated at the following address: 501 Highway 90 E, Little River, SC, 29566.
What is Jeffrey Dwayne Randall's area of expertise and its corresponding taxonomy classification?
The Jeffrey Dwayne Randall's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jeffrey Dwayne Randall receive the assignment of its 1376688796 from the Centers for Medicare & Medicaid Services?
The Jeffrey Dwayne Randall was issued its 1376688796 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the details related to Jeffrey Dwayne Randall most recently updated or revised?
The information pertaining to Jeffrey Dwayne Randall, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-18.